Unattended and Unlocked Medication Carts on Multiple Floors
Penalty
Summary
The facility failed to ensure medications were stored in locked compartments as required by facility policy and professional standards. During a complaint investigation, surveyors observed an unattended and unlocked medication cart next to the first-floor nurses’ station on 03/10/26 at 10:30 A.M., and the LPN present at that time confirmed the cart had been left unattended and unlocked. On the following day, 03/11/26 at 12:00 P.M., surveyors again observed an unattended and unlocked medication cart next to the second-floor nurses’ station, and the LPN on duty confirmed that this cart was also unattended and unlocked. The facility’s written policy, “Medication Labeling and Storage” dated February 2023, stated that all medications would be stored in locked compartments. This deficiency had the potential to affect all residents on the first and second floors, excluding 13 residents identified as residing on the secured memory care unit. These observations and staff confirmations demonstrated that the facility did not follow its own policy or accepted professional principles for secure medication storage, resulting in medication carts being left unlocked and unattended on two separate floors during the survey period.
